Application value of combined open and laparoscopic incisional hernia repair in the treat-ment of recurrent incisional hernia
10.3760/cma.j.cn115610-20230820-00026
- VernacularTitle:开放联合腹腔镜切口疝修补术在复发性切口疝中的应用价值
- Author:
Fuqiang CHEN
1
;
Yingmo SHEN
;
Fan WANG
;
Yilin ZHU
;
Chen LIANG
;
Jie CHEN
;
Zhenyu ZOU
Author Information
1. 首都医科大学附属北京朝阳医院疝和腹壁外科，北京 100043
- Keywords:
Hernia;
Incisional;
Recurrence;
Open surgery;
Hybrid technique;
Com-plications;
Laparoscopy
- From:
Chinese Journal of Digestive Surgery
2023;22(9):1113-1119
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value of combined open and laparos-copic incisional hernia repair (hereinafter referred to as hybrid technique) in the treatment of recurrent incisional hernia.Methods:The retrospective and descriptive study was conducted. The clinical data of 36 patients with recurrent incisional hernia who were admitted to the Affiliated Beijing Chaoyang Hospital of Capital Medical University from January 2015 to December 2021 were collected. There were 10 males and 26 females, aged 62(range, 25-83)years. All patients underwent incisional hernia repair using the hybrid technique. Observation indicators: (1) intraoperative situa-tions; (2) postoperative situations; (3) follow-up. Measurement data with normal distribution were represented as Mean± SD, and measurement data with skewed distribution were represented as M(range). Count data were described as absolute numbers. Results:(1) Intraoperative situations. All 36 patients did not undergo component separation and successfully closed the hernia defect before completing the surgery. The operation time, defect area and area of mesh of the 36 patients were (102±41)minutes, (73±39)cm 2 and 300(range, 150-600)cm 2. Of the 36 patients, 9 cases required complete removal of the previous mesh, 2 cases had partial removal of the previous mesh and 25 cases did not require mesh removal. Two of the 36 patients had intestinal serosal tears, which needed suture repair during the operation. (2) Postoperative situations. Eight of the 36 patients had post-operative complications, including 6 cases of seroma, 1 case of subcutaneous hematoma and 1 case of undetected iatrogenic intestinal injury during the operation. The duration of the postoperative hospital stay of the 36 patients was 14(range, 7-57)days. (3) Follow-up. All 36 patients were followed up for 64 (range, 13-96)months. During the follow-up period, 2 cases had hernia recurrence and 1 case had intestinal obstruction. Conclusion:The hybrid technique in the treatment of recurrent incisional hernia is safe and feasible.
